Botox for Hyperhidrosis - Didn't Work for Me 3 Times. Why?

I think most people respond very well to Botox, but not everyone responds the same way.  I am assuming that you had a good treatment with:1) the Botox placed in the area of the densest sweat production (starch-iodine test helps with this component)2) enough units of Botox (usually about 50 units per side)3) Botox placed into the right plane (subdermal)The other thing to consider is whether botox reduced, but did not eliminate your sweating.  Finally, I agree with the other physicians - consider miraDry as an alternative.  This typically reduces sweat by greater than 80%, but will not completely eliminate your ability to sweat.

Our office specializes in Miraday. Miradry just got FDA clearance for elimination of all hair colors under the arm. It also has clearance for the elimination of underarm sweating and odor. Much cheaper than botox and permanent.

If Botox doesn't work for you try miraDry. MiraDry is a clinically proven and safe FDA-approved solution for significantly reducing underarm sweat. It’s an outpatient procedure performed in your physician’s office. It is not surgery so doesn’t involve surgical incisions. miraDry delivers controlled electromagnetic energy to the arm pit, eliminating the underarm sweat (eccrine) glands.Two procedures are typically recommended. Each occurs approximately three months apart for best results.Other  surgical options involve superficial liposuction or excision of sweat gland skin poses additional risks and leave scars.